Individual
ALLISON YUKYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
HOSPITAL DENTISTRY, 151 WESTCHESTER HALL, STONY BROOK, NY 11704-8711
(631) 444-2557
(631) 444-6013
Mailing address
1800 N FIELD ST APT 3002, DALLAS, TX 75202-0001
(815) 275-9455
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
37604
TX
1223G0001X
General Practice Dentistry
37604
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2018
Last updated
03/07/2022
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